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Samenvatting neurologische en locomotorische pathologie

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Volledige samenvatting van neurologische en locomotorische pathalogie gegeven door Michele Vergote

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  • December 27, 2023
  • 119
  • 2023/2024
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NEUROLOGISCHE EN LOCOMOTORISCHE
PATHOLOGIE: MICHELE VERGOTE




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,INHOUD

Inleiding neuropathologie ....................................................................................................................................... 7
Belangrijk kader neurologische pathologie ............................................................................................................................................ 7

Dwarslaesie ............................................................................................................................................................. 8
Inleiding.................................................................................................................................................................................................................. 8

Definitie .................................................................................................................................................................................................................. 8

Epidemiologie ................................................................................................................................................................................................... 10

Etiologie .............................................................................................................................................................................................................. 11

Prognose ............................................................................................................................................................................................................. 12

Omschrijving letsel ......................................................................................................................................................................................... 12

Neurologisch niveau ................................................................................................................................................................................. 13

Compleet/incompleet .............................................................................................................................................................................. 17

Klinische syndromen bij incomplete laesies ........................................................................................................................................ 18

Central cord syndrom............................................................................................................................................................................... 18

Anterior cord syndrom ............................................................................................................................................................................ 19

Posterior cord syndrom ........................................................................................................................................................................... 19

Hemicord syndrom = Brom-Sequard syndroom .......................................................................................................................... 20

Conus medullaris syndrom .................................................................................................................................................................... 20

Cauda equina syndroom ......................................................................................................................................................................... 21

Classificatie van lichamelijke gevolgen .................................................................................................................................................. 21

Gevolgen en stoornissen op lichamelijk vlak ...................................................................................................................................... 22

Blaasstoornissen ......................................................................................................................................................................................... 22

Decubitus....................................................................................................................................................................................................... 24

Spinale shockfase ....................................................................................................................................................................................... 25

Spasticiteit ..................................................................................................................................................................................................... 26

Circulatiestoornissen ................................................................................................................................................................................ 28

Seksuele stoornissen tem pijn (lezen in syllabus)......................................................................................................................... 30

Trombose ...................................................................................................................................................................................................... 30

Therapie............................................................................................................................................................................................................... 30

NAH (Niet-aangeboren hersenletsel) én CVA ................................................................................................. 31
Definitie NAH .................................................................................................................................................................................................... 31

THL = traumatisch hersenletsel ................................................................................................................................................................. 32

epidemiologie.............................................................................................................................................................................................. 32

Oorzaken ....................................................................................................................................................................................................... 33

Pathofysiologie ........................................................................................................................................................................................... 33

Ernst van het letsel .................................................................................................................................................................................... 35

Prognose hersenletsel .............................................................................................................................................................................. 37

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, Niet responsieve waakzaamheid ......................................................................................................................................................... 38

Gevolgen NAH ............................................................................................................................................................................................ 39

CVA (HERSENINFARCT OF HERSENBLOEDING) ................................................................................................................................. 43

Vasularisatie van de hersenen .............................................................................................................................................................. 44

Epidemiologie.............................................................................................................................................................................................. 45

Enkele termen .............................................................................................................................................................................................. 46

Classificatie ................................................................................................................................................................................................... 47

Risicofactoren .............................................................................................................................................................................................. 48

Prognose........................................................................................................................................................................................................ 49

Gevolgen en stoornissen op lichamelijk vlak ................................................................................................................................. 49

Diagnose ........................................................................................................................................................................................................ 51

Behandeling CVA ....................................................................................................................................................................................... 52

Extra informatie........................................................................................................................................................................................... 52

ALS ......................................................................................................................................................................... 53
Definitie ............................................................................................................................................................................................................... 54

Epidemiologie ................................................................................................................................................................................................... 54

Etiologie .............................................................................................................................................................................................................. 54

Symptomen ....................................................................................................................................................................................................... 54

Klinisch beeld .................................................................................................................................................................................................... 55

Diagnose ............................................................................................................................................................................................................. 56

Prognose ............................................................................................................................................................................................................. 56

Behandeling ....................................................................................................................................................................................................... 57

Multiple Sclerose................................................................................................................................................... 57
Definitie MS ....................................................................................................................................................................................................... 57

Epidemiologie ................................................................................................................................................................................................... 58

Behandeling ....................................................................................................................................................................................................... 59

Subtypes van MS ............................................................................................................................................................................................. 59

Verloop en symptomen MS ........................................................................................................................................................................ 60

verloop............................................................................................................................................................................................................ 60

symptomen ................................................................................................................................................................................................... 61

Diagnose ............................................................................................................................................................................................................. 62

Extrapiramidale aandoeningen zoals Ziekte van Parkinson .................................................................................. 62
Parkinson ............................................................................................................................................................................................................ 62

Etiologie ......................................................................................................................................................................................................... 63

Epidemiologie.............................................................................................................................................................................................. 63

Fysiopathologie .......................................................................................................................................................................................... 64

Klinisch beeld ............................................................................................................................................................................................... 64


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, Diagnose ........................................................................................................................................................................................................ 65

Behandeling ................................................................................................................................................................................................. 66

Prognose........................................................................................................................................................................................................ 67

Aandoeningen van het perifeer zenuwstelsel: letsels van het bovenste lidmaat (zelfstudie) .............................. 67
Inleiding............................................................................................................................................................................................................... 68

Innervatie van de arm .................................................................................................................................................................................... 68

Plexus brachialis letsel ................................................................................................................................................................................... 70

Laesie van de n.musculocuraneus ............................................................................................................................................................ 71

Laesie van de n.radialis ................................................................................................................................................................................. 72

Laesie van de n.medianus ............................................................................................................................................................................ 74

Laesie van de n.ulnaris .................................................................................................................................................................................. 77

Aard van het letsel .......................................................................................................................................................................................... 78

Prognose aandoeningen perifere zenuwstelsel ................................................................................................................................. 79

Reumatologie (start locomotorische pathologie) ................................................................................................. 79
De term ‘reuma’ ............................................................................................................................................................................................... 80

Artrose ................................................................................................................................................................................................................. 80

Epidemiologie.............................................................................................................................................................................................. 81

Pathofysiologie ........................................................................................................................................................................................... 82

Etiologie v. arthrosis deformans .......................................................................................................................................................... 82

Diagnose en behandeling ...................................................................................................................................................................... 83

Reumatoïde artritis ......................................................................................................................................................................................... 84

Epidemiologie en etiologie .................................................................................................................................................................... 84

Fysiopathologie .......................................................................................................................................................................................... 84

Symptomen .................................................................................................................................................................................................. 84

Diagnose en verloop ................................................................................................................................................................................ 85

Behandeling ................................................................................................................................................................................................. 85

Ziekte van Bechterew..................................................................................................................................................................................... 86

Epidemiologie en etiologie .................................................................................................................................................................... 86

Symptomen .................................................................................................................................................................................................. 87

Behandeling ................................................................................................................................................................................................. 87

Jicht ....................................................................................................................................................................................................................... 88

Fysiopathologie .......................................................................................................................................................................................... 88

Epidemiologie.............................................................................................................................................................................................. 88

Symptomen .................................................................................................................................................................................................. 89

Behandeling ................................................................................................................................................................................................. 89

Systemische lupus erythematosus (geen examenleerstof) ............................................................................................................ 89

Osteoporose ...................................................................................................................................................................................................... 89


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